Población y Salud en Mesoamérica ISSN electrónico: 1659-0201

OAI: https://revistas.ucr.ac.cr/index.php/psm/oai
Incidence of catastrophic health expenditure in Costa Rican households 2004 and 2013
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Keywords

health expenditures
catastrophic expenditure
household consumption
household surveys
hospitalization
health insurance

gastos en salud
gasto catastrófico
consumo de los hogares
encuestas de hogares
hospitalización
seguro de salud

How to Cite

Briceño Chamorro, R., & Vargas Brenes, J. R. (2017). Incidence of catastrophic health expenditure in Costa Rican households 2004 and 2013. Población Y Salud En Mesoamérica, 15(1). https://doi.org/10.15517/psm.v15i1.29595

Abstract

Objetive: Identify the percentage of households whose out-of-pocket expenditures turn out to be a financial catastrophe (thirty to forty percent of household income). Methods: The World Bank's Research and Development Group Equity and Financial Protection module ADePT software is used along with a series of programmable routines that replicate the catastrophic expenditure analysis methodology of the study developed by Knaul, Wong, and Arreola-Ornelas (2012). Results: The incidence of catastrophic expenditure increased slightly from 0.6 percent of households in 2004 to 0.8 percent in 2013. Conclusions: The incidence of catastrophic health expenditure in Costa Rican households is not a problem for the Costa Rican health system, but the concern should be issue targeted.
https://doi.org/10.15517/psm.v15i1.29595
PDF (Español (España))

References

Aguiar, M., y Hurst, E. (2013). Deconstructing Life Cycle Expenditure. Journal of Political Economy,121(3), 437-492. doi:10.1086/670740/

Briceño, R.J., Elizondo-Jara, M. y González, G. (2006). Catástrofe económica generada por mala salud: Una aplicación para Costa Rica 2005. En Simposio: Costa Rica a la Luz de la Encuesta de Ingresos y Gastos. San José, Costa Rica: INEC.

Haughton, J. y Khandker, S. (2009). Handbook on poverty and inequality, The International Bank for Reconstruction and Development, The World Bank. Washington, D.C. doi: 10.1596/978-0-8213-7613-3/

Instituto Nacional de Estadística y Censos de Costa Rica (2006). Encuesta Nacional de Ingresos y Gastos de los Hogares 2004: Metodología. San José, Costa Rica: INEC.

Instituto Nacional de Estadística y Censos de Costa Rica. (2014). Encuesta Nacional de Ingresos y Gastos de los Hogares 2013: Metodología. San José, Costa Rica: INEC.

Juul, S. y Frydenberg, M. (2010). An Introduction to Stata for Health Researchers (3era ed.). College Station, TX: Stata Press.

Knaul, F.M., Wong, R. y Arreola-Ornelas, H. (2012). Financing Health in Latin America, Volume 1: Household Spending and Impoverishment. CambridgeMA:Harvard University Press.

Ravallion M., Chen, S., y Sangraula, P. (2008). Dollar a day revisited. Policy Research Working Paper. Development Research Group, The World Bank. Recuperado de http://documents.worldbank.org/curated/en/ 350401468157768465 /Dollar-a-day-revisited/

Vargas, J.R. y Muiser, J. (2013). Promoting universal financial protection: a policy analysis of universal health coverage in Costa Rica (1994-2000). Health Research Policy and Systems, 11(1). doi: 10.1186/1478-4505-11-28/

Wagstaff A., y van Doorslaer, E. (2003). Catastrophe and impoverishment in paying for health care: with applications to Vietnam 1993–1998. Health Economics 2003, 12(11), 921-933. doi: 10.1002/hec.776/

World Health Organization. (2000). The World Health Report 2000. Health Systems: Improving Performance. WHO. Ginebra, Suiza.

Xu K, Evans, D., Kawabata K., Zeramdini R., Klavus J., y Murray C. (2003). Householdcatastrophichealthexpenditure: a multi-country analysis. The Lancet, 362(9378), 111-117.

Zúñiga-Brenes, M. P. (2008). Three essays in Health Economics in Developing Countries (Tesis Doctoral). Universidad de Lausanne. Lausanne, Switzerland.

Zúñiga-Brenes, M.P., Vargas, J.R. y Vindas, A. (2012). Out-of-pocket and catastrophic health expenditures puzzle. The Costa Rican experience. En Financing Health in Latin America, 1.

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